James Wood
Natural causes
Report published
HMP Hull (Prison)
Recommendations (1)
1 Accepted
Recommendation 1
The Head of Healthcare should ensure that clinical staff receive training on when to make referrals under the two-week wait cancer pathway, in line with national guidance.
Response
On 13.9.23 Spectrum sent out NICE guidelines for suspected cancer to all staff advising on recognition and referral process for patients with suspected cancer. Copies of this guidance is available in the clinical rooms. This process has been discussed in team meetings and with GPs.
Full Report Text
OFFICIAL - FOR PUBLIC RELEASE Independent investigation into A report by the Prisons and Probation Ombudsman the death of Mr James Wood, a prisoner at HMP Hull, on 4 September 2023 A report by the Prisons and Probation Ombudsman Third Floor, 10 South Colonnade Email: mail@ppo.gov.uk T l 020 7633 4100 Canary Wharf, London E14 4PU Web: www.ppo.gov.uk OFFICIAL - FOR PUBLIC RELEASE OFFICIAL - FOR PUBLIC RELEASE © Crown copyright, 2024 This report is licensed under the terms of the Open Government Licence v3.0. To view this licence, visit nationalarchives.gov.uk/doc/open-government-licence/version/3 Where we have identified any third-party copyright information you will need to obtain permission from the copyright holders concerned. OFFICIAL - FOR PUBLIC RELEASE OFFICIAL - FOR PUBLIC RELEASE 1. The Prisons and Probation Ombudsman aims to make a significant contribution to safer, fairer custody and community supervision. One of the most important ways in which we work towards that aim is by carrying out independent investigations into deaths, due to any cause, of prisoners, young people in detention, residents of approved premises and detainees in immigration centres. 2. If my office is to best assist His Majesty’s Prison and Probation Service (HMPPS) in ensuring the standard of care received by those within service remit is appropriate, our recommendations should be focused, evidenced and viable. This is especially the case if there is evidence of systemic failure. 3. On 15 February 1993, Mr James Wood was sentenced to life imprisonment for murder. He died in hospital of cancer on 4 September 2023, while a prisoner at HMP Hull. He was 52 years old. We offer our condolences to Mr Wood’s family and friends. 4. The PPO family liaison officer wrote to Mr Wood’s next of kin to explain the investigation and to ask if they had any matters they wanted us to consider. They did not respond to our letter. 5. The PPO investigator investigated the non-clinical issues relating to Mr Wood’s care. We did not find any non-clinical issues of concern. 6. NHS England commissioned an independent clinical reviewer to review Mr Wood’s clinical care at Hull. The clinical reviewer concluded that the clinical care Mr Wood received at Hull was of a good standard and mostly equivalent to that which he could have expected to receive in the community. The clinical reviewer found that on one occasion the care Mr Wood received fell below expectations, when healthcare staff failed to refer Mr Wood for further tests when they first suspected he may have cancer. 7. We make the following recommendation related to the clinical care Mr Wood received: The Head of Healthcare should ensure that clinical staff receive training on when to make referrals under the two-week wait cancer pathway, in line with national guidance. 8. We shared our initial report with HMPPS and the healthcare provider at Hull. They found no factual inaccuracies. The healthcare provider provided an action plan which is annexed to this report. Adrian Usher March 2024 Prisons and Probation Ombudsman Inquest The inquest, held on 18 October 2024, concluded that Mr Wood died from natural causes. Prisons and Probation Ombudsman 1 OFFICIAL - FOR PUBLIC RELEASE OFFICIAL - FOR PUBLIC RELEASE Third Floor, 10 South Colonnade Email: mail@ppo.gov.uk T l 020 7633 4100 Canary Wharf, London E14 4PU Web: www.ppo.gov.uk OFFICIAL - FOR PUBLIC RELEASE
Case Details
Date of Death
4 September 2023
Report Published
25 October 2024
Age
51-60
Gender
Responsible Body
HMP Hull
Recommendations
1
Inquest Date
18 October 2024
Recommendation Themes
training (1)